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ILLINOIS HEALTH AND SCIENCE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ILLINOIS HEALTH AND SCIENCE (EIN 37-1169606)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-06
IRS object ID
201912189349300716
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-06T10:04:36-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351416669PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LA ROSA & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1320 N MERIDIAN ST STE 328AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371169606EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS HEALTH AND SCIENCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlILLIBusinessNameControlTxt
Phone2178762106PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP625264163ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY D STONE JRPersonNm
Person TitleDIRECTOR,PRES. & CEOPersonTitleTxt
Phone2178762051PhoneNum
Signature2019-07-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNEAL R STEGEMILLERPreparerPersonNm
PTINP00516588PTIN
Phone3176348777PhoneNum
Preparation2019-07-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.189.105.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-15IPDt
IP Tm10:42:01IPTm
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6484667E1FB4365B4EBFDD8941AF2918C59488A0AtSubmissionCreationDeviceId
At Submission Filing Device Id8D83A2B626FCE5403B87C3B0DC55F5BC4E560610AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIMOTHY D STONE JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP625264163ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,915,349GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DMHCARES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S MISSION IS TO SUPPORT AND BENEFIT DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES) BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE IN CONNECTION WITH THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES, AND BY HOLDING TITLE TO CERTAIN ASSETS USED IN CONNECTION WITH HOSPITAL ACTIVITIES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,034,847PYInvestmentIncomeAmt
CY Investment Income$274,322CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,034,847PYTotalRevenueAmt
CY Total Revenue$274,322CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$566,622PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$925,991CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,587,334PYOtherExpensesAmt
CY Other Expenses$2,030,383CYOtherExpensesAmt
PY Total Expenses$2,153,956PYTotalExpensesAmt
CY Total Expenses$2,956,374CYTotalExpensesAmt
PY Revenues Less Expenses-$119,109PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,682,052CYRevenuesLessExpensesAmt
Total Assets BOY$14,740,402TotalAssetsBOYAmt
Total Assets EOY$11,813,446TotalAssetsEOYAmt
Total Liabilities BOY$181,097TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,401TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,559,305NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,684,045NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO SUPPORT AND BENEFIT DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES) BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE IN CONNECTION WITH THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES, AND BY HOLDING TITLE TO CERTAIN ASSETS USED IN CONNECTION WITH HOSPITAL ACTIVITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,634,417ExpenseAmt
DescTHE ORGANIZATION SUPPORTS AND BENEFITS DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES)BY PROVIDING FINANCIAL MANAGEMENT ASSISTANCE IN CONNECTION WITH THE HOSPITAL AND ITS AFFILIATES, AND BY HOLDING TITLE TO CERTAIN ASSETS USED IN CONNECTION WITH HOSPITAL ACTIVITIES.Desc
Total Program Service Expenses$1,634,417TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBORAH L BRAGG ACCOUNTINGPersonNm
Phone2178762051PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N EDWARD STREETAddressLine1Txt
CityDECATURCityNm
State AbbreviationILStateAbbreviationCd
ZIP625264163ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TIMOTHY D STONE JR
DIRECTOR,PRE10.0032.50Yes (X)Yes (X)$489,455$48,200$9,985
JACK O'RILEY
DIRECTOR2.000.00Yes (X)$0$0$0
WILLIAM MACLEOD
DIRECTOR2.000.00Yes (X)$0$0$0
AIMEE FYKE
DIRECTOR2.000.00Yes (X)$0$0$0
JONATHAN LOCKE MD
DIRECTOR2.000.00Yes (X)$0$0$0
THOMAS BAYER
DIRECTOR2.000.00Yes (X)$0$0$0
KELLY EVANS
DIRECTOR2.000.00Yes (X)$0$0$0
LARRY ALTENBAUMER
DIRECTOR2.000.00Yes (X)$0$0$0
ROBIN KING
DIRECTOR2.000.00Yes (X)$0$0$0
BRAD WIKE
DIRECTOR2.000.00Yes (X)$0$0$0
GUSSIE REED
DIRECTOR2.000.00Yes (X)$0$0$0
JAMES STECK
DIRECTOR2.000.00Yes (X)$0$0$0
DENNIS WHALEN
DIRECTOR2.000.00Yes (X)$0$0$0
JOHN WADDOCK
DIRECTOR2.000.00Yes (X)$0$0$0
EDWARD ELLIOTT MD
DIRECTOR2.000.00Yes (X)$0$0$0
DEBORAH L BRAGG
SVP, FINANCE1.0044.00Yes (X)$0$220,231$4,842
KEVIN HORATH
VP HUMAN RES20.0020.00Yes (X)$0$204,768$4,879
KATHERINE ANDERSON
ATTORNEY10.0045.00$222,202$28,979$8,606Yes (X)
DAVID BAUMBERGER MD
FORMER OFFIC0.0040.20$0$393,041$18,423Yes (X)
LINDA FAHEY
FORMER OFFIC0.0040.00$0$286,219$5,759Yes (X)
JOHN RIDLEY
FORMER OFFIC0.0040.20$0$234,931$22,994Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$711,657TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,416,369TotReportableCompRltdOrgAmt
Total Other Compensation$75,488TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALVAREZ & MARSAL HEALTHCARE
600 MADISON AVENUE 8TH FLOORNEW YORKNY10022CONSULTING SERV$684,967
DRINKER BIDDLE REATH LLP
ONE LOGAN SQUARE SUITE 2000PHILADEPHIAPA191036996LEGAL SERVICES$330,363
BKD LLP
211 N BROADWAY SUITE 600ST LOUISMO63102AUDIT SERVICES$148,380
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$200,951TotalRevenueColumnAmt
Exclusion$200,951ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,714,398SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,641,027SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$73,371SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,371TotalRevenueColumnAmt
Exclusion$73,371ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$274,322TotalRevenueColumnAmt
Exclusion$274,322ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$622,191TotalAmt
Program Services$311,096ProgramServicesAmt
Management And General$311,095ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$252,352TotalAmt
Program Services$126,176ProgramServicesAmt
Management And General$126,176ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,753TotalAmt
Program Services$3,877ProgramServicesAmt
Management And General$3,876ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,755TotalAmt
Program Services$7,378ProgramServicesAmt
Management And General$7,377ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,940TotalAmt
Program Services$14,470ProgramServicesAmt
Management And General$14,470ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$684,521TotalAmt
Management And General$684,521ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$153,840TotalAmt
Management And General$153,840ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,167,181TotalAmt
Program Services$1,167,181ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,529TotalAmt
Management And General$18,529ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,239TotalAmt
Program Services$4,239ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHER EXPENSESDesc
Total$2,073TotalAmt
Management And General$2,073ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,956,374TotalAmt
Program Services$1,634,417ProgramServicesAmt
Management And General$1,321,957ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$521,617BOYAmt
EOY$289,619EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,052,785BOYAmt
EOY$4,069,617EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,200,000BOYAmt
EOY$6,200,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$966,000BOYAmt
EOY$1,254,210EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,740,402BOYAmt
EOY$11,813,446EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$181,097BOYAmt
EOY$123,390EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$6,011EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$181,097BOYAmt
EOY$129,401EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,559,305BOYAmt
EOY$11,684,045EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,559,305BOYAmt
EOY$11,684,045EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,740,402BOYAmt
EOY$11,813,446EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,682,052ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$193,208NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DECATUR MEMORIAL HOSPITALBusinessNameLine1Txt
Business Name Line2DECATUR MEMORIAL HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
EIN370661199EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$1,634,417SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,634,417SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$6,200,000BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$6,200,000TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$966,000
OTHER$288,210
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,254,210TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$6,011Amt
FieldValueIRS element (for citing)
Total Liability$6,011TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE SYSTEM HAD NO MATERIAL UNCERTAIN POSITIONS IN INCOME TAX LIABILITIES OR EXPENSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmt
TIMOTHY D STONE JR
DIRECTOR,PRES. & CEO$489,455$48,200$3,249$726$4,645$1,365$497,349$50,291
DEBORAH L BRAGG
SVP, FINANCE & SEC.$220,131$3,300$1,542$225,073$100
KEVIN HORATH
VP HUMAN RESOURCES$204,142$3,055$1,824$209,647$626
KATHERINE ANDERSON
ATTORNEY$222,202$28,979$2,612$4,645$1,349$229,459$30,328
DAVID BAUMBERGER MD
FORMER OFFICER$392,791$4,050$14,373$411,464$250
LINDA FAHEY
FORMER OFFICER$272,238$4,050$1,709$291,978$13,981
JOHN RIDLEY
FORMER OFFICER$233,546$3,575$19,419$257,925$1,385

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE ORGANIZATION'S MISSION IS TO SUPPORT AND BENEFIT DECATUR MEMORIAL HOSPITAL (A 280-BED ACUTE CARE HOSPITAL AND RELATED FACILITIES PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES) BY PROVIDING FINANCIAL AND MANAGEMENT ASSISTANCE IN CONNECTION WITH THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES, AND BY HOLDING TITLE TO CERTAIN ASSETS USED IN CONNECTION WITH HOSPITAL ACTIVITIES.
FORM 990, PAGE 6, PART VI, LINE 2LARRY ALTENBAUMER ROBIN KING DIRECTOR DIRECTOR BUSINESS RELATIONSHIP EDWARD ELLIOTT JONATHAN LOCKE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP ROBIN KING LARRY ALTENBAUMER DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JONATHAN LOCKE EDWARD ELLIOTT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP TIMOTHY STONE, JR KEVIN HORATH OFFICER OFFICER BUSINESS RELATIONSHIP TIMOTHY STONE, JR. DENNIS WHALEN DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. GUSSIE REED DIRECTOR DIRECTOR BUSINESS RELATIONSHIP TIMOTHY STONE, JR. JOHN WADDOCK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DENNIS WHALEN TIMOTHY STONE, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DENNIS WHALEN GUSSIE REED DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DENNIS WHALEN JOHN WADDOCK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GUSSIE REED TIMOTHY STONE, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GUSSIE REED DENNIS WHALEN DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GUSSIE REED JOHN WADDOCK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN WADDOCK TIMOTHY STONE, JR. DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN WADDOCK DENNIS WHALEN DIRECTOR DIRECTOR BUSINESS RELATIONSHIP JOHN WADDOCK GUSSIE REED DIRECTOR DIRECTOR BUSINESS RELATIONSHIP DEBORAH BRAGG TIMOTHY STONE, JR. OFFICER OFFICER BUSINESS RELATIONSHIP DEBORAH BRAGG KEVIN HORATH OFFICER OFFICER BUSINESS RELATIONSHIP KEVIN HORATH DEBORAH BRAGG OFFICER OFFICER BUSINESS RELATIONSHIP KEVIN HORATH TIMOTHY STONE, JR. OFFICER OFFICER BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION'S MEMBERS ARE THE INDIVIDUALS WHO COMPRISE ITS BOARD OF DIRECTORS AT ANY POINT IN TIME.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ACCOUNTING DEPARTMENT OF THE HOSPITAL AND BY THE SENIOR VICE PRESIDENT FINANCE PRIOR TO FILING. FURTHER, A COPY OF THE FORM 990, ALONG WITH AN EXPLANATORY NOTE, IS PROVIDED FOR REVIEW TO THE BOARD VIA AN INTRANET SITE. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE CEO. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE FOR REFERENCE. THE CFO'S OFFICE MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION PROCESS FOR TOP OFFICIAL - THE BOARD OF DIRECTORS OF ILLINOIS HEALTH AND SCIENCE (THE SOLE CORPORATE MEMBER OF DMH) HAS ADOPTED AN EXECUTIVE COMPENSATION POLICY AND PROCEDURE SETTING FORTH THE AUTHORITY AND PROCESS REGARDING COMPENSATION DETERMINATIONS FOR THE TOP EXECUTIVES OF DMH AND ITS AFFILIATES (THE CEO AND TEN OTHER EXECUTIVES). PURSUANT TO THE POLICY, THE BOARD HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITY TO REVIEW INDEPENDENT MARKET DATA, ASSESS THE COMPARABILITY OF SUCH DATA, AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING COMPENSATION PROPOSED TO BE PAID. IN CARRYING OUT THEIR RESPECTIVE COMPENSATION-RELATED RESPONSIBILITIES, THE BOARD AND EXECUTIVE COMMITTEE EXCLUDE ANY PERSON DEEMED TO HAVE A CONFLICT OF INTEREST WITHIN THE MEANING APPLICABLE TREASURY REGULATIONS (INCLUDING ANY PHYSICIANS EMPLOYED BY DMH OR ON ITS MEDICAL STAFF). AS PROVIDED IN THE POLICY, THE EXECUTIVE COMMITTEE CONDUCTS AN IN-DEPTH TOTAL COMPENSATION ANALYSIS USUALLY EVERY TWO YEARS WITH THE ASSISTANCE OF AN INDEPENDENT NATIONALLY-RECOGNIZED COMPENSATION CONSULTING FIRM. IN THE OFF-YEARS BETWEEN IN-DEPTH REVIEWS, THE COMMITTEE TYPICALLY HAS OBTAINED FROM ITS CONSULTING FIRM AN UPDATED ASSESSMENT TO CONFIRM CONTINUED COMPARABILITY WITH MARKET DATA. CONSISTENT WITH THE FOREGOING, IN AUGUST 2017, DMH OBTAINED SUCH AN UPDATE REPORT FROM ITS INDEPENDENT COMPENSATION CONSULTING FIRM, COVERING THE FOLLOWING INDIVIDUALS: STONE (CEO), RIDLEY (COO), BAUMBERGER (CMO), FAHEY (CIO), BRAGG (SVP FINANCE), ANDERSON (VP LEGAL), SAMPLES (VP SUPPORT SERVICES), REISING (CNO), BRILLEY (VP PHYSICIANS), BURMESTER (SVP STRATEGY), AND HORATH (VP HR). THE COMMITTEE USED AN UPDATED ASSESSMENT WHEN OFFERING POSITIONS TO HEGLAND (CMO), PAGLIUZZA (SVP & CFO), FAHEY (COO), RIDLEY (VP PROF SERVICES), MIKE EDWARDS (VP REV CYCLE), AND JIM BLACKWELL (VP OF IT). ALL DETERMINATIONS OF THE BOARD AND EXECUTIVE COMMITTEE ARE THOROUGHLY AND TIMELY DOCUMENTED IN APPROPRIATE MINUTES AND SUPPORTING MATERIALS.
FORM 990, PAGE 6, PART VI, LINE 15BSEE RESPONSE TO FORM 990, PART VI, SECTION B, LINE 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL INFORMATION OF ILLINOIS HEALTH AND SCIENCE ARE AVAILABLE TO THE PUBLIC UPON SPECIFIC REQUEST TO DMH ADMINISTRATION.
FORM 990, PART IX, LINE 11GCONSULTING FEES 257,771 0 0 OUTSIDE PURCHASED SERVICES 909,410 0 0 TOTAL 1,167,181 0 0
FORM 990, PART XIIILLINOIS HEALTH AND SCIENCE WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ILLINOIS HEALTH AND SCIENCE AND AFFILIATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
DECATUR MEMORIAL HOSPITAL
2300 N EDWARD STREETDECATURIL62526370661199HOSPITALIL501C33NAfalse
DECATUR MEMORIAL FOUNDATION
2300 N EDWARD STREETDECATURIL62526371169605SUPP. DMHIL501C312ADMHfalse
HEARTLAND RISK MANAGEMENT
2300 N EDWARD STREETDECATURIL62526454256254SUPP. DMHAZ501C312ADMHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
DMH WORLD WIDE LTD
2300 N EDWARD STDECATURIL62526271901157RADIOPHARMILN/AYes (true)
C-MOLECULAR
2300 N EDWARD STDECATURIL62526473601111RADIOPHARMDEN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd